Gingival Enlargement also referred to as gingival hyperplasia, gingival overgrowth, gum enlargement, hypertrophy and hypertrophic gingivitis.
Gingival hyperplasia is a common clinical problem that increases the number of cells. It is a condition in which the size or thickness of gingiva is increased.
The increased gingiva is removed with the help of gingivectomy and gingivoplasty surgical procedures.
Gingival enlargement could be occurred due to either hypertrophy or hyperplasia. The gingival hyperplasia can be resolved by improving oral hygiene.
These are some clinical signs of Gingival Hyperplasia which are given below:
Swelling of gums
Gums may appear reddened or inflamed
Gums size may increase which is difficult to visualize
Pockets develop in the gums
Growth of mass formation on the gum line
Looseness in teeth
In most cases the causes are not fully understandable. The common causes of Gingival Hyperplasia are mentioned below:
Poor dental hygiene
Plaque along the gum line
Nutritional deficiency (Vitamin C deficiency)
Hormonal states like pregnancy
Genetic condition (occur at birth time)
Blood condition such as anaemia
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The treatment of gingival enlargement is based on the kind of cause and underlying pathologic changes that have occurred.
Gingival hyperplasia is treated with gingivectomy, a treatment wherein a large amount of gingival tissue is removed.
The objective of a gingivectomy is to reestablish the typical sulcus depth and gingival shape.
The treatment relies upon the hidden reason. Gingivitis may improve with the accompanying measures:
Expulsion of bacterial plaque by intensive tooth brushing and flossing.
Antiseptic mouthwashes like, chlorhexidine.
Anti-infection agents reduce oral bacterial load.
The effects of gingival overgrowth are mentioned below:
Gingival Overgrowth causes both physical and psychological pain.
Overgrowth of the front teeth is basic in transplant patients and destroy influenced teeth.
Overgrowth tissue develops pockets which lead to infection, cavities and halitosis.
In aesthetic problems, a gingival overgrowth can lead to anxiety, fear, pain and depression.
Drug actuated gingival overgrowth is normally restricted to the gingiva.
Gingival Enlargement can be classified according to etiologic factors and pathologic changes a follow:
Enlargement associated with systemic diseases
Vitamin C deficiency
Plasma cell gingivitis
Non-specific conditioned enlargement
B. Systemic diseases causing gingival enlargement
While gingival hyperplasia is frequently dependent on clinical appearance, diagnosis requires histopathology.
In gingival hyperplasia, the abnormal gingival expansion is due to the increment of gingival cells.
This medical condition is often diagnosed only doing regular inspection of the mouth. Whole mouth dental radiographs ought to be performed on all pets for gingival hyperplasia treatment.
This is important to know the strength of the teeth and jaw. Most of the time, gingival hyperplasia will cover critical dental infections that may require extractions.
Gingival hyperplasia is most usually treated with the help of surgical removal of the tissue. Gingivoplasty is a method that is performed under general anesthesia, often related to a careful dental cleaning.
Your dentist will remove extra gingival tissue, reestablish the typical gumline contour and eliminating deep pockets that are better for trapping food and debris.
By removing the infection inside the mouth, gingivoplasty improves the presence of the mouth while additionally reduce distress and slow down the condition.
Despite it gives relevant improvement in clinical signs, gingivoplasty doesn’t fix the condition. The gum tissue will again start to increase after some time and again surgery takes place.
Gingival hyperplasia treatment less painful due to oral health, bleeding gums, enlarged, inflated gums and redness of the gums. It also depends on the severity of the lesions until it is detected by a professional dentist.
Generally used medications can lead to gingival changes, including gingival overgrowth and gum disease. There are no particular bacteria or risk factors other than poor plaque related to these gingival diseases.
Medications taken for certain conditions which cause Gingival Hyperplasia. Those drugs include:
Phenytoin – used to control seizure issue
Cyclosporine – used for antirejection treatment in organ transplant patients
Calcium channel blockers – used for cardiovascular conditions
Sodium valproate – used as an antidepressant and anticonvulsant.
Cost for Gingival Hyperplasia Surgery run from multiple to per tooth. A Ekdantam dental specialists may charge less for various teeth — for the most part up to 3 — done in a solitary session.
If you have insurance, gingivectomy is likely secured by your plan policies if it’s done to treat periodontal disease or mouth damage.
Your insurance for treatment won’t cover it if it’s done only for cosmetic reasons only.
The cost may change depending how much work is done, as well, and what number of sessions it takes to finish by the dentist.